NPI | 1366431751 |
---|---|
Doing Business As | MEDICINE CHEST #116 |
Entity Type | Organization |
Authorized Contact | JOE WEAVER President 903-885-0821 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 21464) |
Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
333600000X Pharmacy | |
Enumeration Date | 2005-10-18 |
Last Update Date | 2013-08-26 |